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Updated: Feb 2, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Percutaneous Ankle Reconstruction of Lateral Ligaments
Mark Glazebrook1, Mohammad Eid1, Meshal Alhadhoud1
1Division of Orthopedic Surgery, Department of Surgery, Dalhousie University, Queen Elizabeth II Health Sciences Center, Room 4867, Halifax Infirmary, 1796 Summer Street, B3H3A7, Halifax, Nova Scotia B3H 3A6, Canada.
Abstract:
Chronic ankle instability following ankle sprains causes pain and functional problems such as recurrent giving way. Within the 3 ligaments of the lateral ligament complex, 80% of patients tear the anterior talofibular ligament (ATFL), whereas the other 20% of patients tear the ATFL and calcaneofibular ligament (CFL). Rarely, the posterior talofibular ligament is involved. An incidence of 10% to 30% of patients will fail conservative treatment and result in chronic ankle instability that may require surgical treatment. To date, numerous open surgical procedures for anatomic repair or reconstruction of ATFL and/or CFL provide good clinical results.
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